National Provider Identifier Database

VILLAGE DERMATOLOGY COSMETIC SURGERY LLC
Procedural Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).


Contact Information

VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES, FL32162
Phone: 352-751-6565
Fax: 352-205-7777
Website:
Specialty Taxonomy Code
* Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC

NPI Number 1013098755
Legal business name
LBN
VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
Authorized official THI TRAN - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/18/2006
Last updated 10/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OS8364

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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